Page 25 - World Journal of Laparoscopic Surgery

WJOLS
WJOLS

10.5005/jp-journals-10033-1232
A Review of Comparing Laparoscopic Roux-en-Y vs Minigastric bypass for the Morbid Obesity
RevieW ARticLe

A Review of Comparing Laparoscopic Roux-en-Y vs

Minigastric bypass for the Morbid Obesity

2

1 Abid Ali Karatparambil, C Sidhic
ABSTRACT updated the evidence and the conclusions of the NIH
Obesity is a major problem in whole over the world especially panel. They concluded that gastric bypass is considered
in urban countries. Surgical treatment for morbid obesity is as one of the operation for morbid obesity; laparoscopy
now considered as a well accepted one compared to medical is equally effective as open surgery. With advances in
treatment. Now the commonly performed surgeries are Roux-
en-Y gastric bypass and minigastric bypass. A literature review minimally invasive technology, laparoscopic Roux-en-
was performed using Springer link, BMJ, Journal of MAS and Y gastric bypass (LRYGBP) has been reported as a safe
2-4
major general search engine like Google, MSN, and Yahoo, alter native to open RYGBP. However its associated with
etc. The following search terms were used: laparoscopic treat- steep learning curve, longer operation time and more
ment of morbid obesity; laparoscopic Roux-en-Y gastric bypass 5,6
(LRYGBP) and minigastric bypass for morbid obesity. Reviews perioperative complications. Laparoscopic minigastric
and meta-analysis, editorial letters or comments, case reports, bypass (LMGBP), first reported by Rutledge from USA in
animal or in vitro studies, comparisons with medical treatment, 1997, was proposed as a simple and effective treatment of
comparisons with open (nonlaparoscopic) procedures were morbid obesity. However, controversies about the rela-
7
excluded. All the studies showed that both procedures are
equally good solving obesity related metabolic problems. tive safety of this procedure remain, mainly the incidence
But regarding the technique, simplicity and safety minigastric of marginal ulcer and reflux esophagitis. 8
bypass is superior to Roux-en-Y gastric bypass. We believe
that patients should be informed in detail on the advantages AIM
and disadvantages of each available procedure, possibly in
several interviews and always accompanied by a specialized The aim of the study was to compare the safety and
interdisciplinary team, warranting long-term follow-up. effec tiveness of LRYGBP and LMGBP in the treatment
Keywords: Laparoscopic Roux-en-Y gastric bypass, Minigas of morbid obesity. The following parameters were used
-tric bypass, Morbid obesity, Metabolic syndrom.
for both the procedures:
How to cite this article: Karatparambil AA, Sidhic C. A Review • Time taken
of Comparing Laparoscopic Roux-en-Y vs Minigastric bypass
for the Morbid Obesity. World J Lap Surg 2014;7(3):125-128. • Conversion rate
• Blood transfusion
Source of support: Nil
• Mortality and morbidity
Conflict of interest: None • Postoperative complications (anastamotic leak, ileus,

GI bleeding, reoperation)
InTROduCTIOn
• Postoperative recovery
Both in developed and developing countries, obesity is • BMI
considered as an endemic problem. Medical treatment of • Excess weight loss
obesity is greatly disappointing. Surgery is considered • Normalization of metabolic syndromes
as the most effective treatment for morbid obesity as per • Quality of life assessment.
the National Institute of Health Consensus Conference
1
in 1991. From there, major development has occurred MATERIALS And METHOdS
in the bariatric surgery field including laparoscopy. A literature review was performed using Springer link,
In 2004, a consensus conference was sponsored by the BMJ, Journal of MAS and major general search engine like
American Society for Bariatric Surgery (ASBS), which Google, MSN and Yahoo, etc. The following search terms
were used: laparoscopic treatment of morbid obesity;
laparoscopic Roux-en-Y gastric bypass and minigastric
2
1 Surgeon, Associate Professor bypass for morbid obesity. Sixty-one thousand and three
1,2 Department of General Surgery, MeS Medical College hundred citations found in total selected papers were
Malappuram, Kerala, India screened for further references. Criteria for selection of
Corresponding Author: Abid Ali Karatparambil, Surgeon literature were the number of cases (excluded if it is less
Department of General Surgery, MeS Medical College, Perin- than 20), method of analysis (statistical or nonstatistical),
talmanna, Malappuram, Kerala, India, Phone: 04933258300 operative procedure (only universally accepted proce-
e-mail: dr_abid1@yahoo.com
dures were selected). And the institution were the study
World Journal of Laparoscopic Surgery, September-December 2014;7(3):125-128 125